Ritual is an outer sign of inner change.
A trance state may be brought by drumming, dancing or rattle shaking.
Movements may be those of an animal.
There may be cries which appear to come from different corners of the room.
Rituals are involved in initiation rites.
Shamans also have ritual costumes.
A costume is a sign of the sacred.
Journey`s are often depicted on the costume.
Song and music is also an important part of shamanic ritual.
Shamanism
Practical Shamanism, A Guide for Walking in Both Worlds
Paralumun New Age Village